| NPI | 1699397299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL KEYES Administrator 662-681-5956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-08-06 |